SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
SCP Vitalife Partners (Israel) II, L.P.

(Last) (First) (Middle)
7 GREAT VALLEY PARKWAY, SUITE 190

(Street)
MALVERN PA 19355-1446

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/31/2015
3. Issuer Name and Ticker or Trading Symbol
ReWalk Robotics Ltd. [ RWLK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Ordinary Shares, par value NIS 0.01 per share 418,017 D(1)(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants 07/14/2014 07/14/2018 Ordinary Shares 7,488 11.45 D(1)(2)
1. Name and Address of Reporting Person*
SCP Vitalife Partners (Israel) II, L.P.

(Last) (First) (Middle)
7 GREAT VALLEY PARKWAY, SUITE 190

(Street)
MALVERN PA 19355-1446

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SCP Vitalife II Associates, L.P.

(Last) (First) (Middle)
7 GREAT VALLEY PARKWAY, SUITE 190

(Street)
MALVERN PA 19355-1446

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SCP Vitalife II GP, Ltd.

(Last) (First) (Middle)
7 GREAT VALLEY PARKWAY, SUITE 190

(Street)
MALVERN PA 19355-1446

(City) (State) (Zip)
1. Name and Address of Reporting Person*
CHURCHILL WINSTON J

(Last) (First) (Middle)
7 GREAT VALLEY PARKWAY, SUITE 190

(Street)
MALVERN PA 19355-1446

(City) (State) (Zip)
1. Name and Address of Reporting Person*
LUDOMIRSKI ABRAHAM

(Last) (First) (Middle)
7 GREAT VALLEY PARKWAY, SUITE 109

(Street)
MALVERN PA 19355-1446

(City) (State) (Zip)
Explanation of Responses:
1. The Ordinary Shares and Warrants to purchase Ordinary Shares are directly held by SCP Vitalife Partners (Israel) II, L.P. ("SCP Vitalife Israel") and indirectly held by SCP Vitalife II Associates, L.P. ("SCP Vitalife Associates"), the sole general partner of SCP Vitalife Israel, SCP Vitalife II, GP, Ltd. ("SCP Vitalife GP"), the sole general partner of SCP Vitalife Associates, and the individual directors of SCP Vitalife GP (SCP Vitalife Associates, SCP Vitalife GP and the individual directors of SCP Vitalife GP together, the "SCP Vitalife Israel Indirect Reporting Persons"). The individual directors of SCP Vitalife GP are Jeffrey Dykan, Winston J. Churchill, Abraham Ludomirski and Wayne B. Weisman.
2. The SCP Vitalife Israel Indirect Reporting Persons disclaim beneficial ownership within the meaning of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise of such portion of the SCP Vitalife Israel Ordinary Shares and Warrants in which the SCP Vitalife Israel Indirect Reporting Persons have no pecuniary interest.
/s/ Winston J. Churchill, attorney-in-fact 12/31/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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